A. Kayikcioglu et al., End-to-side neurorrhaphies to the ulnar and median nerves at the wrist: Report of two cases without sensory or motor improvement, ANN PL SURG, 45(6), 2000, pp. 641-643
The authors present two unsuccessful clinical cases of end-to-side neurorrh
aphy. In the first patient the distal median nerve was coapted in an end-to
-side manner to the intact ulnar nerve. In the other patient four cables of
sural nerve graft were used to bridge the ulnar nerve and the intact media
n nerve by two end-to-side coaptations. Neurorrhaphies were performed via e
pineural sutures through epineural windows. Both of the cases failed to dem
onstrate any signs of regeneration either clinically or as evidenced by ele
ctromyography, Semmes-Weinstein monofilament test, or 256-Hz vibration test
s at 18 and 21 months' follow-up respectively.